Doctor of Nursing Practice (DNP) Projects

Access Control

Open Access

Degree Program

Doctor of Nursing Practice

Degree Track

Adult Gerontological Primary Care Nurse Practitioner (AGPCNP)

Year Degree Awarded



Month Degree Awarded



high-risk, breast, cancer, screening, prevention, elearning


Pamela Aselton

DNP Project Chair

Rachel Walker

DNP Project Outside Member Name

Joy Varady


Women at high-risk of developing breast cancer must be screened appropriately and educated about breast cancer reduction strategies much earlier than those of average risk. The National Comprehensive Cancer Network (NCCN) (2017) has identified guidelines for the care of this group. This project focused on the development of education for providers, specifically an eLearning module, to help translate guidelines into practice. Providers of adult primary care (including internal medicine and family practice) from four clinics in Snohomish County, Washington, were asked to participate in an eLearning module regarding the care of patients at high-risk for breast cancer. Repeated measures surveys using a Likert Scale were presented to the PCP participants, as well as questions regarding demographics and current practices. The surveys assessed the four components of learning according to the Kirkpatrick Model including reaction, knowledge, behavior and results. Paired t-tests were used to evaluate learning regarding knowledge and behavior, showing statistically significant improvement (sig. < 0.05) between pretest and posttest for questions about understanding current evidence-based recommendations, use of a screening tool, and referrals to a breast care specialist, supporting that learning occurred and participants believed this learning would impact their behaviors. High-risk breast education is needed for the PCP to engage in shared decision-making with their patients about high risk care. The NCCN (2016) has created evidence-based guidelines for the support and monitoring of patients who are found to be at high-risk; however, this evidence continues to be slowly disseminated.

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